[Acute myocardial infarct--the hospital phase and follow-up: sex-related differences].
OBJECTIVE
The aim of this study was to evaluate the differences between male and female patients, during hospitalization and follow-up, after acute myocardial infarction.


METHODS
The clinical data and follow-up files of 504 previously hospitalized patients were studied. The patients were divided in two groups: Group A (male, n = 434) with a mean age of 56.4 +/- 11.7 years, and Group B (female, n = 70) with a mean age of 64.1 +/- 9.2 years.


METHODS
The following parameters were studied: vascular risk factors; clinical, functional and anatomic aspects during hospitalization; therapeutic orientation and events; and mortality during follow-up.


RESULTS
Hypertension, diabetes, obesity, anterior infarction and lower ejection fraction were more common in Group B. Coronary angiography and thrombolytic therapy were performed more frequently in Group A; severe coronary disease was more common in this group (60.8% vs 38.9%, p < 0.05). During the follow-up we observed a worse prognosis in the Group B, with a higher incidence of events, morbidity and mortality. Therapeutic approach was more aggressive in the male group.


CONCLUSIONS
We observed a worse prognosis in the female patients after myocardial infarction, this fact may be attributed to a later age and higher previous morbidity; the therapeutic and diagnostic procedures are generally less aggressive in females, who are consequently referred for revascularization with more advanced stages of disease, and therefore with higher morbidity and mortality, in the short and long term, even though multivessel coronary disease is more common in males. Thrombolytic therapy was administered and coronary angiography was performed more often in Group A, who had more severe coronary disease.
Silva
P
P
Serviço de Cardiologia, Centro Hospitalar de Gaia.
Ribeiro
J
J
Rodrigues
M de J
Mde J
Primo
J
J
Fonseca
C
C
Simões
L
L
Gama
V
V
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology*; D011174:Portugal / Q000453:epidemiology; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D017678:Sex Distribution
Enfarte agudo do miocárdio--fase hospitalar e seguimento: diferenças relacionadas com o sexo.